Abstract
Aim
The purpose of our study was to evaluate the dislocation and aseptic loosening rates of a dual mobility construct in revision total hip arthroplasty (THA).
Methods
Three hundred thirty-four revision THAs performed between 2006 and 2011, using a dual mobility cup, were included in this retrospective study. The indications for revision were aseptic loosening (70%), infection (21%) and recurrent instability (9%). The minimum follow-up was five years (mean 7 ± 2 years, maximum 10 years).
Results
At the latest follow-up, 11 episodes of dislocation occurred, seven of which were recurrent (1.3% for aseptic loosening, 2.8% for infection and 3.4% for recurrent dislocation). Ten cases of aseptic loosening occurred; in seven of them, a cemented cup into a reinforcement ring had been used (OR = 14, p = 0.0001).
Conclusion
This study provided evidence of the advantages of dual mobility cups in all revision THA indications.
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References
Bozic KJ, Kamath AF, Ong K, Lau E, Kurtz S, Chan V, Vail TP, Rubash H, Berry DJ (2015) Comparative epidemiology of revision arthroplasty: failed THA poses greater clinical and economic burdens than failed TKA. Clin Orthop Relat Res 473:2131–2138. doi:10.1007/s11999-014-4078-8
Patel A, Pavlou G, Mujica-Mota RE, Toms AD (2015) The epidemiology of revision total knee and hip arthroplasty in England and Wales: a comparative analysis with projections for the United States. A study using the National Joint Registry dataset. Bone Joint J 97-B:1076–1081. doi:10.1302/0301-620X.97B8.35170
van Heumen M, Heesterbeek PJ, Swierstra BA, Van Hellemondt GG, Goosen JH (2015) Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in 50 hips after 1–5 years. J Orthop Traumatol 16:15–20. doi:10.1007/s10195-014-0318-7
Jauregui JJ, Banerjee S, Elmallah RK, Pierce TP, Cherian JJ, Harwin SF, Mont MA (2016) Radiographic evaluation of hip dislocations necessitating revision total hip arthroplasty. Orthopedics 39(5):e1011–8. doi:10.3928/01477447-20160616-02
De Martino I, Triantafyllopoulos GK, Sculco PK, Sculco TP (2014) Dual mobility cups in total hip arthroplasty. World J Orthop 5:180–187. doi:10.5312/wjo.v5.i3.180
Garbuz DS, Masri BA, Duncan CP, Greidanus NV, Bohm ER, Petrak MJ, Della Valle CJ, Gross AE (2012) The Frank Stinchfield Award: dislocation in revision THA: do large heads (36 and 40 mm) result in reduced dislocation rates in a randomized clinical trial? Clin Orthop Relat Res 470:351–356. doi:10.1007/s11999-011-2146-x
Noble PC, Durrani SK, Usrey MM, Mathis KB, Bardakos NV (2012) Constrained cups appear incapable of meeting the demands of revision THA. Clin Orthop Relat Res 470:1907–1916. doi:10.1007/s11999-011-2212-4
Plummer DR, Christy JM, Sporer SM, Paprosky WG, Della Valle CJ (2016) Dual-mobility articulations for patients at high risk for dislocation. J Arthroplasty 31(9 Suppl):131–135. doi:10.1016/j.arth.2016.03.021
Caton JH, Prudhon JL, Ferreira A, Aslanian T, Verdier R (2014) A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess whether a dual mobility cup has a decreased dislocation risk. Int Orthop 38:1125–1129. doi:10.1007/s00264-014-2313-2
Combes A, Migaud H, Girard J, Duhamel A, Fessy MH (2013) Low rate of dislocation of dual-mobility cups in primary total hip arthroplasty. Clin Orthop Relat Res 471:3891–3900. doi:10.1007/s11999-013-2929-3
Fessy M (2010) La double mobilite (symposium du 12 novembre 2009 a l’occasion de la 84eme reunion annuelle de la SoFCOT). Rev Chir Orthop Reparatrice Appar Mot 96:891–898
D’Antonio JA, Capello WN, Borden LS, Bargar WL, Bierbaum BF, Boettcher WG, Steinberg ME, Stulberg SD, Wedge JH (1989) Classification and management of acetabular abnormalities in total hip arthroplasty. Clin Orthop Relat Res 126–137
Langlais FL, Ropars M, Gaucher F, Musset T, Chaix O (2008) Dual mobility cemented cups have low dislocation rates in THA revisions. Clin Orthop Relat Res 466:389–395. doi:10.1007/s11999-007-0047-9
Civinini R, Carulli C, Matassi F, Nistri L, Innocenti M (2012) A dual-mobility cup reduces risk of dislocation in isolated acetabular revisions. Clin Orthop Relat Res 470:3542–3548. doi:10.1007/s11999-012-2428-y
Schneider L, Philippot R, Boyer B, Farizon F (2011) Revision total hip arthroplasty using a reconstruction cage device and a cemented dual mobility cup. Orthop Traumatol Surg Res 97:807–813. doi:10.1016/j.otsr.2011.09.010
Prudhon JL, Steffann F, Ferreira A, Verdier R, Aslanian T, Caton J (2014) Cementless dual-mobility cup in total hip arthroplasty revision. Int Orthop 38:2463–2468. doi:10.1007/s00264-014-2448-1
Leclercq S, el Blidi S, Aubriot JH (1995) Bousquet’s device in the treatment of recurrent dislocation of a total hip prosthesis. Apropos of 13 cases. Rev Chir Orthop Reparatrice Appar Mot 81:389–394
Guyen O, Pibarot V, Vaz G, Chevillotte C, Bejui-Hugues J (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop Relat Res 467:465–472. doi:10.1007/s11999-008-0476-0
Philippot R, Adam P, Reckhaus M, Delangle F, Verdot F, Curvale G, Farizon F (2009) Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthop Traumatol Surg Res 95:407–413. doi:10.1016/j.otsr.2009.04.016
Hamadouche M, Biau DJ, Huten D, Musset T, Gaucher F (2010) The use of a cemented dual mobility socket to treat recurrent dislocation. Clin Orthop Relat Res 468:3248–3254. doi:10.1007/s11999-010-1404-7
Massin P, Besnier L (2010) Acetabular revision using a press-fit dual mobility cup. Orthop Traumatol Surg Res 96:9–13. doi:10.1016/j.rcot.2009.11.006
Leiber-Wackenheim F, Brunschweiler B, Ehlinger M, Gabrion A, Mertl P (2011) Treatment of recurrent THR dislocation using of a cementless dual-mobility cup: a 59 cases series with a mean 8 years’ follow-up. Orthop Traumatol Surg Res 97:8–13. doi:10.1016/j.otsr.2010.08.003
Hailer NP, Weiss RJ, Stark A, Karrholm J (2012) Dual-mobility cups for revision due to instability are associated with a low rate of re-revisions due to dislocation: 228 patients from the Swedish Hip Arthroplasty Register. Acta Orthop 83:566–571. doi:10.3109/17453674.2012.742395
Mertl P, Combes A, Leiber-Wackenheim F, Fessy MH, Girard J, Migaud H (2012) Recurrence of dislocation following total hip arthroplasty revision using dual mobility cups was rare in 180 hips followed over 7 years. HSS J 8:251–256. doi:10.1007/s11420-012-9301-0
Pattyn C, Audenaert E (2012) Early complications after revision total hip arthroplasty with cemented dual-mobility socket and reinforcement ring. Acta Orthop Belg 78:357–361
Vasukutty NL, Middleton RG, Matthews EC, Young PS, Uzoigwe CE, Minhas TH (2012) The double-mobility acetabular component in revision total hip replacement: the United Kingdom experience. J Bone Joint Surg Br 94:603–608. doi:10.1302/0301-620X.94B5.27876
Saragaglia D, Ruatti S, Refaie R (2013) Relevance of a press-fit dual mobility cup to deal with recurrent dislocation of conventional total hip arthroplasty: a 29-case series. Eur J Orthop Surg Traumatol 23:431–436. doi:10.1007/s00590-012-1002-3
Jakobsen T, Kappel A, Hansen F, Krarup N (2014) The dislocating hip replacement—revision with a dual mobility cup in 56 consecutive patients. Open Orthop J 8:268–271. doi:10.2174/1874325001408010268
Wegrzyn J, Pibarot V, Jacquel A, Carret JP, Bejui-Hugues J, Guyen O (2014) Acetabular reconstruction using a Kerboull cross-plate, structural allograft and cemented dual-mobility cup in revision THA at a minimum 5-year follow-up. J Arthroplasty 29:432–437. doi:10.1016/j.arth.2013.05.030
Mohammed R, Hayward K, Mulay S, Bindi F, Wallace M (2015) Outcomes of dual-mobility acetabular cup for instability in primary and revision total hip arthroplasty. J Orthop Traumatol 16:9–13. doi:10.1007/s10195-014-0324-9
Simian E, Chatellard R, Druon J, Berhouet J, Rosset P (2015) Dual mobility cup in revision total hip arthroplasty: dislocation rate and survival after 5 years. Orthop Traumatol Surg Res 101:577–581. doi:10.1016/j.otsr.2015.05.002
Wegrzyn J, Tebaa E, Jacquel A, Carret JP, Bejui-Hugues J, Pibarot V (2015) Can dual mobility cups prevent dislocation in all situations after revision total hip arthroplasty? J Arthroplasty 30:631–640. doi:10.1016/j.arth.2014.10.034
Jauregui JJ, Pierce TP, Elmallah RK, Cherian JJ, Delanois RE, Mont MA (2016) Dual mobility cups: an effective prosthesis in revision total hip arthroplasties for preventing dislocations. Hip Int 26:57–61. doi:10.5301/hipint.5000295
Stedman RC, Lim D, Husain A, Courtney PM, Nelson CL (2016) Single-component revisions are associated with dislocation after revision total hip arthroplasty at intermediate-term follow-up. Hip Int 26:233–236. doi:10.5301/hipint.5000332
Stromsoe K, Eikvar K (1995) Fascia lata plasty in recurrent posterior dislocation after total hip arthroplasty. Arch Orthop Trauma Surg 114:292–294
Sariali E, Lazennec JY, Khiami F, Catonne Y (2009) Mathematical evaluation of jumping distance in total hip arthroplasty: influence of abduction angle, femoral head offset, and head diameter. Acta Orthop 80:277–282. doi:10.3109/17453670902988378
Massin P, Orain V, Philippot R, Farizon F, Fessy MH (2012) Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res 470:1932–1940. doi:10.1007/s11999-011-2213-3
Vermersch T, Viste A, Desmarchelier R, Fessy MH (2015) Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup. Int Orthop 39:2097–2101. doi:10.1007/s00264-015-2985-2
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MHF received royalties from Serf and DePuy, not related to this particular study.
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This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
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Viste, A., Desmarchelier, R. & Fessy, MH. Dual mobility cups in revision total hip arthroplasty. International Orthopaedics (SICOT) 41, 535–542 (2017). https://doi.org/10.1007/s00264-016-3363-4
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DOI: https://doi.org/10.1007/s00264-016-3363-4